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i nt i a ; , rg€ 7 O ;"x. Pix a
<br /> �"+,".n yea,.., t �.�_ s P 677.:a. ';,,,4,,:44.2,....44,4.rk 6 R 9' 3 u'.,�".
<br /> �..�;.,�.,�a..wex�, ��...t'��_� . '"" ::,.�"'' ;�`� €. ..r
<br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
<br /> .?/ Zdd x .0125$ ��. `~---
<br /> (contract price) (minimum$50.00)
<br /> 2. STATE SURCHARGE
<br /> //, 20 x.0005 $ /�. G d
<br /> (contract price)
<br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
<br /> d
<br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �f U 7 r
<br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
<br /> permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged
<br /> to the customer for the work done. If any material,equipment,labor or installations are furnished by the
<br /> owner, tenant or any tither party, the reasonable market value of such items must be added to the
<br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount
<br /> of the job cost, the city may request the submission of a signed copy of the actual contract.
<br /> $, `..,.x ,,.a,,,4.4a,':....N..@. z.. r..$ _.. ',ye.,:'4,;.,.4 ,....,s,.>, .,a-.3v,,..,,ate ,.. ,,..w,.+:�. .-7."' .a�-3 ll
<br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
<br /> work in strict accordance with the ordinances of the City and the regulations of the State of
<br /> Minnesota,and certifies th tt all statements made on this application are complete,true and correct.
<br /> Applicant's Signature: Date: .?' 7"/7
<br /> 3
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